DENTAL PATIENT REGISTRATION FORMS: MURFREESBORO TN

For your convenience you may print our forms, fill them out by hand, and turn it in during your visit. Should you have questions, please feel free to contact us at (615) 890-0474.

Registration Form
Patient Dental History
Patient Medical History
Financing – Care Credit
Financing – Lending Club

While we accept most insurance, there are times the cost for dental treatment exceeds that afforded by dental insurance. Many times, services are paid by cash, check, or credit card. If these options are not available, then we service our patients through Care Credit or Chase Health Advance. You can pay for your dental treatment up to 18 months at 0% interest!

Dental Abscess
A dental, or tooth, abscess is a pocket of pus, in the bone or surrounding tissue, that is caused by a bacterial infection. The abscess can occur at different areas...
Can tooth infection spread?
Can tooth infection spread? A tooth can get a bacterial infection creating pus that dentists call an abscess.  This abscess can occur at different areas around a tooth...
Periodontal Disease
Gum disease is an extremely common but preventable condition. You may be wondering, if it’s preventable then why is it so common? The lack of understanding, knowledge...

RICAFORT DENTAL GROUP, 1820 MEMORIAL BLVD., MURFREESBORO, TN 37129 615-890-0474

Hours of Operation:

Monday8:00am - 5:00pm
Tuesday8:00am - 5:00pm
Wednesday8:00am - 5:00pm
Thursday8:00am - 5:00pm